John Michael Korzelius in Camarillo - Methadone

John Michael Korzelius - NPI 1932387099

John Michael Korzelius is a Methadone in Camarillo, California. John Michael Korzelius practices all healthcare services and medical treatments related to Methadone. The NPI Number for John Michael Korzelius is 1932387099. The last update date is 2008-01-31.

John Michael Korzelius's current location address is 692 Crestview Ave, Camarillo, California. You can contact this provider via phone number 8058905991 and fax number 8053839663. The mailing address for John Michael Korzelius is 692 Crestview Ave, Camarillo, California. To know further, please read the information below!

Provider Profile Detail

Provider Name John Michael Korzelius
Address 692 Crestview Ave, Camarillo, California
Phone Number 8058905991
Fax Number 8053839663
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1932387099
Provider Enumeration Date 2008-01-31
Last Updated Date 2008-01-31

Provider Mailing Address Detail

Address 692 Crestview Ave
City Camarillo
State California (CA)
Post Code 930107477
Phone Number 8058905991
Fax Number 8053839663

Provider's Primary Taxonomy Detail

Speciality Methadone
Taxonomy 261Qm2800X
Licence No G49388
Definition:
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

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FAQs about John Michael Korzelius

What is the John Michael Korzelius's unique identification number?

The John Michael Korzelius has been assigned the NPI (National Provider Identifier) Number 1932387099 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of John Michael Korzelius?

The John Michael Korzelius is physically situated at 692 Crestview Ave, in the city of Camarillo, state of CA, with the postal code 930107477.

What is the John Michael Korzelius's specialty and taxonomy code?

The John Michael Korzelius's specialty is Methadone, and the corresponding taxonomy code is 261Qm2800X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1932387099 to John Michael Korzelius?

The Centers for Medicare & Medicaid Services originally issued the 1932387099 to John Michael Korzelius on 2008-01-31.

When was the information regarding John Michael Korzelius most recently updated?

The details pertaining to the John Michael Korzelius, including its address, specialty, and other relevant information, were last refreshed on 2008-01-31.

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